| NPI | 1073730156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE L JOHNSON Administrator 916-422-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 347003429) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |